Organization
ARIZONA MEDICAL BOUTIQUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHUREE K OLDEHOEFT PA (OWNER)
(480) 766-0550
Entity
Organization
Contact information
Practice address
8360 E RAINTREE DR STE 105, SCOTTSDALE, AZ 85260-2677
(480) 766-0550
(602) 795-2445
Mailing address
8360 E RAINTREE DR STE 105, SCOTTSDALE, AZ 85260-2677
(480) 766-0550
(602) 795-2445
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3164
AZ
Other
Enumeration date
08/06/2007
Last updated
08/22/2011
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